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[8] Patients with significant alcohol intake or thiamine deficiency also require precaution: chronic heavy alcohol use can deplete thiamine (vitamin B) and taking ALA in the setting of thiamine deficiency has been associated with serious health risks (including a condition resembling Wernickes encephalopathy)

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How prevalent is vitamin B12 deficiency among vegetarians? Nutrition Reviews 71(2) (2013): 110117

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